Individual
TIN WAI JUDY KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2120 N MAYS ST STE 430, ROUND ROCK, TX 78664-2108
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 868-9894
(512) 868-9894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
N1371
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
N1371
TX
Other
Enumeration date
06/05/2008
Last updated
03/09/2021
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